By Pearl Marvell
•
September 1, 2026
Stacey Malcom is a child life specialist that runs her own practice, Healing Hearts on Aquidneck Island. Through her work, she helps children and their caregivers navigate loss and illness. Arguably some of the hardest moments a family will ever face. From creating customized, age-appropriate resources to facilitating meaningful memory-making experiences, Malcom discusses how she works with families during these moments. What led you to this work? Originally, I went to school to become a teacher, but halfway through my bachelor’s degree, I realized it wasn’t the right fit. I knew I loved working with children, but I was also really drawn to the medical side of supporting them. My counselor told me, “You’re describing a child life specialist—you need to look into it.” I had never heard of child life before, but once I learned about it, I knew it was exactly what I wanted to do. Certified Child Life Specialists are trained to help children and families cope with stressful and often overwhelming experiences. I’ve worked in emergency departments, the NICU, PICU, oncology, and other pediatric settings, helping children through procedures, hospitalizations, diagnoses, and loss. Over time, I found a particular passion for supporting children and families through grief and end-of-life experiences—whether that means the death of a parent, sibling, grandparent, friend, or even a beloved pet. There is something incredibly meaningful about being invited into those difficult moments and helping a family find a way through them. What grief support do you provide? When a family comes to Healing Hearts, I usually start by meeting with the caregivers to understand what is happening and what their child needs. Sometimes that means creating a customized book that explains what is happening in language the child can understand. That could be preparing a child for the death of a loved one in hospice, helping them understand a sibling’s serious diagnosis, talking about a perinatal loss, or helping them process a sudden death. Families send me photographs and details about the people, routines, and things that are meaningful to their child. I combine those personal pieces with developmentally appropriate explanations about grief, death, illness, and emotions. The goal is to create something that feels like their story—not just a generic book about grief. I also provide one-on-one sessions in families’ homes. I bring books, therapeutic activities, play materials, and other resources and create a plan specifically for that child and family. Grief also changes over time. Something that makes sense to a four-year-old may bring up completely different questions when that child is six or eight. My support can evolve alongside the family. Talking to children about death Adults often struggle to talk about death themselves, so having that conversation with a child can feel incredibly difficult. Children also process grief differently than adults. A child may be deeply upset one moment and then ask to go play five minutes later. They may ask the same question repeatedly: “Where is Grandpa?” or “When is he coming home?” That can all be a normal part of how children process and understand loss. One of the most important things we encourage families to do is use clear, concrete language. We use words like “death,” “died,” and “dying” rather than phrases such as “went to sleep” or “went away.” Those phrases can be confusing for young children and can unintentionally create fears or misconceptions. How do you create the customized books? I have several templates that I’ve developed, but every book becomes specific to the child and family. The book may explain that someone has died, that someone is going to die, or what a child might see when visiting someone who is very sick. If a loved one is in hospice or a baby is in the NICU, for example, there may be machines, tubes, sounds, and unfamiliar people. I can explain those things in simple, age-appropriate language before the child encounters them. I also incorporate photographs of the family and the child's everyday life—the people they love, activities they enjoy, their routines, and places that are important to them. That makes the book familiar and meaningful. Many families use the books at bedtime or during quiet moments when questions naturally come up. It gives caregivers something tangible to reach for when they aren't sure how to start the conversation. The books can also change. If a family tells me, “This page doesn't fit anymore,” we can replace it. If circumstances change or new questions arise, we can add pages. The resource grows with the child and family. What is memory making? Memory making is about creating tangible connections during a person's life or around the time of their death. That could include fingerprint charms, a lock of hair, hand molds, family handprint canvases, or other meaningful keepsakes. These activities give children and families something concrete that connects them to the person they love. Legacy building is slightly different. There doesn't necessarily have to be an imminent death. It focuses on preserving someone's story, personality, relationships, and memories so those connections can continue into the future. What keeps you doing this work? I find so much meaning in helping families through the hard moments. When a family reaches out after a session—or even months later—and says, “What you did really helped our family,” that's what keeps me going. Grief can consume a family. Sometimes parents become so focused on everything that is happening that it becomes difficult to allow their children—and themselves—to simply be together and be a family. Part of my role is helping bring some of that back and reminding everyone that even in the middle of grief, kids still need opportunities to be kids. How do you help children with funerals and visitations? I often receive referrals from funeral homes, hospices, hospitals, or directly from families. Before the funeral, I help prepare children for what they are going to see and experience. We talk about what a visitation is, what a casket might look like, what happens during the service or burial, and the emotions they may see from the adults around them. Children deserve to know what to expect. I also remind caregivers that it's okay for their children to see emotion. We can say, “You might see people crying today because they are sad and they miss this person very much.” I've also attended funerals to support children through the experience itself. Sometimes that means explaining what's happening. Sometimes it means helping them take a break when everything becomes overwhelming. Children don't have to experience every moment of a funeral in the same way adults do. Support can also happen afterward. A child may process the experience days or weeks later through questions, behaviors, or play. We can revisit what happened, use therapeutic play to reenact parts of the experience, answer questions, and help them make sense of what they saw and felt. The goal isn't to take grief away. It's to make sure children don't have to navigate it without understanding what's happening around them. Check out Stacey's website here , or feel free to email here at stacey@healingheartsccls.com .